NPI | 1043899065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP023598) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: PA RN643452) |
Enumeration Date | 2021-04-06 |
Last Update Date | 2021-04-06 |