| NPI | 1801397062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5010287) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010287) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2021-08-10 |