| NPI | 1790305142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-173593) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-173593) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-173593) | |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2023-07-26 |