NPI | 1396485520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ 22115464) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 288126) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2023-07-27 |