| NPI | 1992461503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 243288) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: AZ 243288) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: AZ 243288) | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2023-07-26 |