| NPI | 1972243301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-151037) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-151037) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2025-08-27 |