| NPI | 1407056229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 004769) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R176044) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MD AC0004111) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2016-01-28 |