| NPI | 1568769255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 7905235-4405) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: UT 7905235-4404) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2021-10-16 |