| NPI | 1467019992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112824) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NE 70163) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2021-10-05 |