| NPI | 1467123315 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IA H165739)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H165739)  | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H165739)  | |
| Enumeration Date | 2021-09-21 | 
| Last Update Date | 2025-04-28 |