| NPI | 1568092013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 903794) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: LA 211863) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 211863) | |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2023-03-07 |