| NPI | 1346923703 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 869969) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 869969) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NV 869969) | |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2025-01-20 |