NPI | 1023773744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 272641) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN184086) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AZ 272641) | |
Enumeration Date | 2021-11-08 |
Last Update Date | 2023-11-29 |