| NPI | 1689240756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 11016209) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: FL RN9273467) |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2021-10-23 |