| NPI | 1578249777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA 279147) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 279147) |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2024-04-29 |