| NPI | 1508457664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2020035901) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OK 200927) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2022-11-30 |