NPI | 1588280325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11008491) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9375859) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL 11008491) | |
Enumeration Date | 2020-06-17 |
Last Update Date | 2024-07-15 |