| NPI | 1538827860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 906495) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 888645) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MS 888645) | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2025-12-04 |