| NPI | 1588373443 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: VT 026.0140939) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NH 081433-21) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |