| NPI | 1518722362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R236983) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MD R236983) |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-05-15 |