| NPI | 1518508498 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA 220483) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN220483) | 
| Enumeration Date | 2019-10-02 | 
| Last Update Date | 2025-05-27 |