| NPI | 1407369374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024175581) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R126918) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R126918) | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |