| NPI | 1255056966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: UT 13050381-4405) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: UT 13050381-4405) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2023-01-08 |