| NPI | 1073820783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MT MED-APRN-LIC-100379) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 25494) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2021-12-14 |