| NPI | 1548509250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5006100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 224018) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5006100) | |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2018-02-21 |