| NPI | 1962240432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024190995) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001229675) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-09-02 |