NPI | 1073092383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018031081) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2009039680) |
Enumeration Date | 2018-08-08 |
Last Update Date | 2018-10-04 |