| NPI | 1457090409 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024187085) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5016288) | 
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 298275) | |
| Enumeration Date | 2022-05-28 | 
| Last Update Date | 2025-04-27 |