| 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 | 2020-12-04 |