| NPI | 1396512257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OR 10034685) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95029029) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10034685) | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2025-01-21 |