NPI | 1962276154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: SC 258450) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20091) |
Enumeration Date | 2023-11-08 |
Last Update Date | 2025-02-18 |