| NPI | 1306563770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1116651) |
| Additional Taxonomies | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: IL 209.016679) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2026-10-15 |