NPI | 1104336403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019012710) |
Additional Taxonomies | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: MO 2017032948) |
Enumeration Date | 2017-10-02 |
Last Update Date | 2025-05-22 |