| NPI | 1649519539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MD R147912) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024171213) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2022-12-01 |