NPI | 1326425919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 123577) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AR R88701) |
Enumeration Date | 2015-05-03 |
Last Update Date | 2020-01-15 |