| NPI | 1376190165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WI 9520-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9520-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 9520) | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2021-08-05 |