| NPI | 1952040651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 010966) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 10.192143-TEMP) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-09-13 |