| NPI | 1912495938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MD R165342) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R165342) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2020-05-14 |