| NPI | 1912902016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM R43975) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM CNP01033) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NM CNP01033) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2023-10-24 |