| NPI | 1972339133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WY 46999) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: WY 46999) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2025-07-21 |