| NPI | 1306379607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: VA 0024174096) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024174096) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MT NUR-APRN-LIC-184834) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-02-19 |