| NPI | 1043788011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: WV 103492) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: PA 606975) |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: OH 442976) | |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: FL 9378037) | |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: WV 73909) | |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2019-10-03 |