| NPI | 1023604915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AK 170304) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AK NURR36339) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2021-01-21 |