NPI | 1356102149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5021922) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 255324) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MD AC006122) | |
Enumeration Date | 2024-01-18 |
Last Update Date | 2025-07-15 |