| NPI | 1063255172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN269986) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN269986) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN269986) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN269986) | |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-10-22 |