| NPI | 1174090500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL 9363062) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9363092) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2021-08-19 |