| NPI | 1104244763 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 26821)  | 
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL ARNP9235897)  | 
| Enumeration Date | 2014-04-01 | 
| Last Update Date | 2023-06-07 |