| NPI | 1902151517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WI 4980) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4980) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2020-12-30 |