| NPI | 1598966574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 12135) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 12135) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-10-15 |