| NPI | 1619463502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NH 067798-23) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NH 067798-21) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2021-03-10 |