| NPI | 1871173401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-110708) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-110708) |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: AL 1-110708) | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2024-04-04 |