| NPI | 1366992273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5009379) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 112047) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2022-06-28 |