| NPI | 1225756364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 9645312-4405) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: UT 9645312-3102) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-11-29 |