| NPI | 1851087902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-187797) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-187797) |
| 207P00000X Emergency Medicine (Licence: AL 1-187797) | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2025-08-27 |