| NPI | 1093139628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: MO 2014004556) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MO 2014004556) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-03-21 |