| NPI | 1871887463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: OH 279294) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71003950A) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2013-01-03 |