NPI | 1124797485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 3-000702) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: SC 238778) |
Enumeration Date | 2021-09-09 |
Last Update Date | 2022-08-11 |