| NPI | 1851856124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: NC 5015847) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN253001) |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2022-06-15 |