NPI | 1023776135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: DC RN1055152) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001206923) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: VA 0024184656) | |
Enumeration Date | 2021-12-06 |
Last Update Date | 2022-11-26 |