NPI | 1114584745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 112816) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NE 79679) |
Enumeration Date | 2019-05-20 |
Last Update Date | 2024-07-14 |