| NPI | 1679596050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 00000012064) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 135845) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 12064) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-10-12 |