| NPI | 1780297234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: LA 215455) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 215455) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2022-11-15 |