NPI | 1497447502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10476) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MN 2433196) |
Enumeration Date | 2023-05-25 |
Last Update Date | 2023-08-15 |