| NPI | 1225817257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019403) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5019403) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2024-07-24 |