| NPI | 1578637864 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA R116406) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA 116406) | 
| 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: GA R116406) | |
| Enumeration Date | 2006-11-20 | 
| Last Update Date | 2020-10-15 |