| NPI | 1134482300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 5081) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CT 5081) | |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CT 5081) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2015-06-29 |