| NPI | 1487964615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SC0200X Clinical Nurse Specialist Critical Care Medicine (Licence: PA SP014649) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 629550) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2015-11-24 |