| NPI | 1790104073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1012176) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1012176) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: DC RN1012176) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-01-19 |