| NPI | 1588951644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005203) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: NC 5005203) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2016-09-15 |