| NPI | 1891574513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: VA 0024188310) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001273092) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024188310) | |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-12-05 |