| NPI | 1659068542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC RN323350) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MA RN2286271) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |