| NPI | 1720361314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NE 111293) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 63568) |
| 363L00000X Nurse Practitioner (Licence: NE 111293) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 111293) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2017-03-27 |