| NPI | 1124583281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A128252) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IA 128252) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2024-08-13 |