| NPI | 1487828885 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MD R115362) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R115362) | 
| Enumeration Date | 2008-04-16 | 
| Last Update Date | 2015-08-12 |