NPI | 1205937182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP007196) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA SP007196) |
363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010464) | |
Enumeration Date | 2006-09-26 |
Last Update Date | 2024-03-07 |