NPI | 1306067921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 12681) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 12681) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2018-06-01 |