NPI | 1437684461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL 9458694) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9458694) |
163W00000X Registered Nurse (Licence: CT 129296) | |
Enumeration Date | 2017-04-27 |
Last Update Date | 2018-04-23 |