| NPI | 1194878660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL ARNP9247090) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 1068342) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2022-07-21 |