| NPI | 1871472712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11039748) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95244045) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9488060) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704285739) | |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2026-04-26 |