| NPI | 1477283802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 058225-23) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NH 058225-21) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-10-04 |