| NPI | 1326671173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019312) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP022049) |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: NJ 26NJ01000200) | |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2024-02-21 |