NPI | 1508558800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 34145) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 199126) |
Enumeration Date | 2023-05-24 |
Last Update Date | 2023-06-27 |