NPI | 1457975278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CT 13295) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN2336457) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MA RN2336457) | |
Enumeration Date | 2020-06-08 |
Last Update Date | 2025-01-10 |