| NPI | 1841935848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: OR PENDING) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: OR 201393834RN) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-05-03 |