| NPI | 1790073997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WI 4551-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 163437) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11020131) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2023-06-07 |