| NPI | 1871956813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL 11016286) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71006162A) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2022-07-01 |