| NPI | 1386115772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA 213922) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: LA 213922) |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2023-08-09 |