| NPI | 1023773744 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 272641) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN184086) | 
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AZ 272641) | |
| Enumeration Date | 2021-11-08 | 
| Last Update Date | 2023-11-29 |