| NPI | 1972776854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 13392) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN APN0000013392) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2023-03-07 |