| NPI | 1861160723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 34879) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 34879) | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2023-12-13 |