| NPI | 1467123315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IA H165739) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H165739) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H165739) | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-12-09 |