| NPI | 1568224012 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 15167-33) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 237125-30) | 
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WI 15167-33) | |
| Enumeration Date | 2024-01-29 | 
| Last Update Date | 2024-05-22 |