| NPI | 1952832867 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 22152)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 22152)  | 
| Enumeration Date | 2017-03-22 | 
| Last Update Date | 2017-04-12 |