NPI | 1194494500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AR 228018) |
Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: MD AC004001) |
Enumeration Date | 2021-09-09 |
Last Update Date | 2024-06-04 |