| NPI | 1932550332 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9310234) | 
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL RN9310234) | 
| Enumeration Date | 2016-06-27 | 
| Last Update Date | 2016-10-13 |