| NPI | 1639599418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: DE LZ-0000130) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0041365) |
| 163W00000X Registered Nurse (Licence: PA RN605215) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP013715) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: DE LZ-0000130) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA SP013715) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2017-05-31 |