NPI | 1174514152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA TP006935B) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA RN303273L) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2021-01-27 |