| NPI | 1790027951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010195) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2654122) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL ARNP2654122) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2019-01-24 |