| NPI | 1306409768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO F04190486) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2009019252) |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2019-07-17 |