| NPI | 1770996787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 19175) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AR R65549) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2016-06-07 |