| NPI | 1821499013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2275203) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MD R212778) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: RI APRN03280) | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2024-11-15 |