| NPI | 1770462079 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95293371) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PR 105324G) |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |