| NPI | 1972348696 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020335) | 
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5020335) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-06-25 | 
| Last Update Date | 2024-09-11 |