| NPI | 1255569133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 85024) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IL 125067227) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 727406) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2024-09-19 |