| NPI | 1073235354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA NP001168) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN69951) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-03-13 |