| NPI | 1568817690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R202582) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R202582) |
| 163W00000X Registered Nurse (Licence: MD R202582) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2021-04-27 |