| NPI | 1831897917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: MD R218009) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: MD R218009) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-08-30 |