| NPI | 1760715197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP010436) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA Sp010436) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2025-07-30 |