| NPI | 1821578212 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9324115) | 
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL APRN9324115) | 
| Enumeration Date | 2018-08-15 | 
| Last Update Date | 2023-12-28 |