NPI | 1174123970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 31877) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 185482) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MD AC003473) | |
Enumeration Date | 2020-10-30 |
Last Update Date | 2022-08-25 |