| NPI | 1245995612 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: DC NP1041799) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: DC RN104179) | 
| Enumeration Date | 2021-11-01 | 
| Last Update Date | 2022-02-21 |