| NPI | 1215703350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL APRN11042828) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9529054) |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2025-11-10 |