| NPI | 1457994097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012459) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 254774) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5012459) | |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2019-10-29 |