NPI | 1598554792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002521) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MS 902089) |
363LF0000X Nurse Practitioner, Family (Licence: MS 907629) | |
Enumeration Date | 2025-05-05 |
Last Update Date | 2025-09-02 |