| NPI | 1669477543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP007862) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP007862) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA SP007862) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2022-06-02 |