NPI | 1336417005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 25730) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MT 25730) |
Enumeration Date | 2011-12-08 |
Last Update Date | 2023-11-27 |