| NPI | 1952962391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 57103) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NM RN-72848) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2020-03-03 |