| NPI | 1558939561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MT MED-APRN-LIC-176716) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT MED-APRN-LIC-176716) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-12-14 |