| NPI | 1114672540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015802) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NC 280075) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NC 2021103230) | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-04-07 |