| NPI | 1386180354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MT MED-APRN-REG-0001701) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP132567) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 9960) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OK 200458) | |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2021-12-14 |