NPI | 1023604915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AK 170304) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AK NURR36339) |
Enumeration Date | 2020-12-15 |
Last Update Date | 2021-01-21 |