| NPI | 1508898800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003107) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CT 074698) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA 241128) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-07-17 |