NPI | 1467019992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112824) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NE 70163) |
Enumeration Date | 2019-05-20 |
Last Update Date | 2021-10-05 |