| NPI | 1033663356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008909) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008909) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 229319) | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2022-12-15 |