| NPI | 1790358877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN245318) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: GA RN245318) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-10-14 |