| NPI | 1629340906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R180060) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 6820) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NM 02587) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: DC RN1012553) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 6820) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MI 4704316175) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WI 6820) | |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2024-12-11 |