| NPI | 1578227666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AL 1-073824) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-073824) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2023-12-01 |