| NPI | 1750057774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 113885) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NE 55923) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-10-29 |