| NPI | 1104336403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019012710) |
| Additional Taxonomies | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: MO 2017032948) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2025-05-22 |