| NPI | 1225675218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 25669) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: SC 217220) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: SC 25669) | |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2024-07-03 |