| NPI | 1205281235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC APRN 20198) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY 48182) |
| 363L00000X Nurse Practitioner (Licence: NC 5009568) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: SC APRN 20198) | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2022-11-10 |