| NPI | 1073798096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4095) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: WI 172778) |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: WI 4095) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2023-02-09 |