NPI | 1184920886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 15529) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN15529) |
Enumeration Date | 2011-01-28 |
Last Update Date | 2022-03-31 |