| NPI | 1689887697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL 11016538) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11016538) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304612) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2022-10-17 |