| NPI | 1457900912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 26435) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: TN 177668) |
| 363L00000X Nurse Practitioner (Licence: TN 26435) | |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2022-03-23 |