NPI | 1548082076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 37522) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 37522) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN 37522) | |
Enumeration Date | 2024-10-28 |
Last Update Date | 2024-12-16 |