| NPI | 1609334630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 4018626) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP140939) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95014580) | |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2024-09-17 |