| NPI | 1871244764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CT 12814) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: MA RN2358310) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2024-02-12 |