NPI | 1457960338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 9833) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CT 127749) |
163WE0003X Registered Nurse, Emergency (Licence: CT 127749) | |
Enumeration Date | 2020-07-27 |
Last Update Date | 2022-06-06 |