| NPI | 1124384003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: NC 5008588) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: VA 0024169820) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2021-03-25 |