| NPI | 1003484767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 08470223) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NH 084702-21) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-07-07 |