| NPI | 1871369488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP028999) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: PA RN683799) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-12-29 |