| NPI | 1861493611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 002527) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 02527) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CT 02527) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2018-06-11 |