| NPI | 1720851496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 14857-33) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WI 14857-33) |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2024-02-12 |