| NPI | 1942657192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: LA AP09376) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95042587) |
| 363L00000X Nurse Practitioner (Licence: LA AP09376) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2021-05-14 |