NPI | 1437614898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000028408) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 210621) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: AL 1-150959) | |
Enumeration Date | 2019-02-09 |
Last Update Date | 2024-04-05 |