| NPI | 1760634257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AL 1760634257) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 2008006014) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2021-05-10 |