| NPI | 1760465199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2409) |
| Additional Taxonomies | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: WI 028008205) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2013-06-03 |