| NPI | 1922756949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: UT 12773572-4405) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: TN 205255) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-05-13 |