| NPI | 1255887196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MA rn2372874) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 719654) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2022-11-21 |