| NPI | 1487033858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 6216) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6216) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CT 095549) | |
| 163WE0003X Registered Nurse, Emergency (Licence: CT 095549) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2016-05-20 |