| NPI | 1902196652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MS R890561) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AL AL 1-116844) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2014-07-22 |