| NPI | 1114793957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP028705) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: PA SP028705) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |