| NPI | 1841835857 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 8608) | 
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CT 8608) | 
| Enumeration Date | 2019-11-13 | 
| Last Update Date | 2021-08-25 |