| NPI | 1023787454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN255256) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: GA RN255256) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2022-01-18 |