NPI | 1336755289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO C-APN.0100330-C-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN240960) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: GA RN240960) | |
Enumeration Date | 2020-09-16 |
Last Update Date | 2023-07-21 |