NPI | 1578637864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA R116406) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA 116406) |
364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: GA R116406) | |
Enumeration Date | 2006-11-20 |
Last Update Date | 2020-10-15 |