| NPI | 1649538463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1577A) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: ID N-36631) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2019-07-22 |