| NPI | 1053919985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021795) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11008239) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL APRN11008239) | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2022-09-13 |