| NPI | 1568876506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5844) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 153118-30) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 5844) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2022-11-17 |