| NPI | 1770984890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-119443) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-119443) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2024-02-01 |