| NPI | 1861386740 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MO 2021022283) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: KY 4038278) |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |