| NPI | 1407432883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA 258819) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN258819) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2022-10-19 |