| NPI | 1407250830 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L117212) | 
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IA L117212) | 
| 363L00000X Nurse Practitioner (Licence: IA L117212) | |
| Enumeration Date | 2014-10-14 | 
| Last Update Date | 2023-11-16 |