| NPI | 1649469164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201706920NP) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: CO 129276) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2019-03-28 |