| NPI | 1386361707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2331626) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1059217) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN2331626) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R238933) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CT 189676) | |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2023-02-16 |