| NPI | 1700568151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 870266) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NV RN94670) |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-10-12 |