| NPI | 1962785618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: SC 17762) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: MO 151153) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2015-10-20 |