| 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 |