| NPI | 1144710955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 7645) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CT 7645) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2019-07-29 |