NPI | 1497340251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN184434) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: GA RN184434) |
Enumeration Date | 2021-03-03 |
Last Update Date | 2023-06-01 |