| NPI | 1972170611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H161413) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: IA H161413) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-09-13 |