| NPI | 1881162303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AK 138431) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ 260143) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2023-08-01 |