| NPI | 1891304663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 009026) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: CT 9026) |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: CT 009026) | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2022-09-29 |