| NPI | 1174514152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: PA TP006935B) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: PA RN303273L) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2021-01-27 |