| NPI | 1548413404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 1939012) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 01939012) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2021-03-15 |