NPI | 1225756364 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 9645312-4405) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: UT 9645312-3102) |
Enumeration Date | 2022-08-15 |
Last Update Date | 2022-11-29 |