| NPI | 1306358742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP10853) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AZ AP10853) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN133301) | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2026-02-17 |