| NPI | 1639192768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R079598) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: MD R079598) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-06-12 |