| NPI | 1194442129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IA H171561) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IA H171561) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2023-11-07 |