| NPI | 1225640980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 28250) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 28250) |
| 163WE0003X Registered Nurse, Emergency (Licence: TN 203805) | |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2021-07-14 |