NPI | 1508184235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MD R158067) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R158067) |
Enumeration Date | 2010-05-05 |
Last Update Date | 2015-05-14 |