| NPI | 1861157414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD AC005192) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 160408) |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2023-08-04 |