| NPI | 1922628379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 2021096899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 263119) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2022-05-02 |