| NPI | 1750837969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H-121407) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H-121407) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2025-07-16 |