NPI | 1225894090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 28435) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: SC 28435) |
Enumeration Date | 2024-02-27 |
Last Update Date | 2024-02-27 |