NPI | 1558077057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: IA 111512) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IA 111512) |
Enumeration Date | 2023-01-27 |
Last Update Date | 2023-01-27 |