| NPI | 1598308215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AL 2019042773) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-136117) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |