| NPI | 1417382433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07523) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: VA 0024172975) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2021-08-02 |