NPI | 1154198992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14991-33) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 231694) |
Enumeration Date | 2023-12-11 |
Last Update Date | 2024-02-01 |