| NPI | 1033831805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: VA 0024185528) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024185528) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2025-09-05 |