| NPI | 1790874279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA SP009192) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WV APRN95033) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP009192) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-04-08 |