| NPI | 1215758487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WY 27180) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 27180) |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |