| NPI | 1871113423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AL 1-168521) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-168-521) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-168521) | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2023-06-28 |