NPI | 1114672540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015802) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 280075) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NC 2021103230) | |
Enumeration Date | 2022-02-14 |
Last Update Date | 2022-04-07 |