NPI | 1275145799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 290011) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN208395) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: ID 78657) | |
Enumeration Date | 2020-08-17 |
Last Update Date | 2024-08-28 |