| NPI | 1104495480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP023815) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R264204) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA SP023815) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MD R264204) | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2025-12-04 |