| NPI | 1639672900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1045087) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH CNP022488) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2022-06-07 |