| NPI | 1891265021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024192859) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN222049) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN222049) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1172742) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AL 1172742) | |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2025-03-19 |