| NPI | 1629752779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 11467) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA GAA-NP001571) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2024-05-08 |