NPI | 1003484767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 08470223) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NH 084702-21) |
Enumeration Date | 2021-06-17 |
Last Update Date | 2021-07-07 |