| NPI | 1871113209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY F432978-01) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN246696) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2024-09-10 |