| NPI | 1790347128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL APRN11004963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9447189) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2022-09-09 |