| NPI | 1083178826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA SP019923) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP019923) |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2023-11-17 |