| NPI | 1013775410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1515730) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 260656-30) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041.533430) | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-13 |