NPI | 1457090409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024187085) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 298275) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5016288) | |
Enumeration Date | 2022-05-28 |
Last Update Date | 2023-10-05 |