| NPI | 1225759517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ID 73742) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 73742) |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: ID 73742) | |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2025-08-06 |