| NPI | 1760133532 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA Rn252592)  | 
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: GA RN252592)  | 
| Enumeration Date | 2022-01-13 | 
| Last Update Date | 2025-10-24 |