| NPI | 1194271320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA 0816051) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: GA 206681) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2019-02-15 |