| NPI | 1679190227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A158672) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IA A158672) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A158672) | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-11-29 |