| NPI | 1790381143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-145941) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-145941) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AL 1-145941) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2022-10-04 |