| NPI | 1083670889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: ID NP-1631A) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 7267) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1631A) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2023-12-05 |