| NPI | 1376035782 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8680) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 222539) | 
| Enumeration Date | 2018-05-31 | 
| Last Update Date | 2021-12-06 |