| NPI | 1649821026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013533) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5013533) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC POLL-HE390L) | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2020-09-28 |