| NPI | 1720495484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MN 5978) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5836-33) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2019-07-12 |