NPI | 1114598455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA 024305) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA 684658) |
Enumeration Date | 2021-07-07 |
Last Update Date | 2025-03-05 |