| NPI | 1205937182 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP007196) | 
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA SP007196) | 
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010464) | |
| Enumeration Date | 2006-09-26 | 
| Last Update Date | 2024-03-07 |