| NPI | 1942948419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse Critical Care Medicine (Licence: FL 9236446) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 9236446) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-25 |