| NPI | 1275915175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IA H116464) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IA 116464) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 856610) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H116464) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP132361) | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2022-11-02 |