| NPI | 1639575806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA SP014457) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA sp014457) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2016-05-25 |