| NPI | 1073974812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6872) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 4431) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MN CNP 4431) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95003352) | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2020-10-06 |