| NPI | 1629213574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 7078) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CT 072262) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: SC R 200316) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: HI 62803) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 678517) | |
| Enumeration Date | 2008-12-06 |
| Last Update Date | 2022-07-21 |