| NPI | 1770258352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024181663) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001256192) |
| Enumeration Date | 2021-08-15 |
| Last Update Date | 2021-08-15 |