NPI | 1336860824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-163304) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 1-163304) |
Enumeration Date | 2022-09-05 |
Last Update Date | 2023-06-29 |