| NPI | 1902129851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004665) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5004665) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5004665) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2023-12-18 |