| NPI | 1649592148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 24168767) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: VA 1203038) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2022-09-20 |