| NPI | 1073335378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ 316006) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: AZ RN179720) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-11-01 |