| NPI | 1801258405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 285129) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: FL 9333786) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2022-07-12 |