| NPI | 1689050320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MO 2015034749) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2008023013) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-09-30 |