| NPI | 1356974901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014797) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5014797) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN60741442) | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2021-10-08 |