| NPI | 1639944804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA 269907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA rn269907) |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2024-11-18 |