| NPI | 1376153163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: VA 0024179933) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001216742) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2024-08-06 |