| NPI | 1043796444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MO 2018027760) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2004005170) |
| 363L00000X Nurse Practitioner (Licence: MO 2018027760) | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-12-26 |