NPI | 1568817690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R202582) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R202582) |
163W00000X Registered Nurse (Licence: MD R202582) | |
Enumeration Date | 2016-04-26 |
Last Update Date | 2021-04-27 |