| NPI | 1386626042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: PA UP-005961-U) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA UP005961U) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2017-10-25 |