NPI | 1619463502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 067798-23) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NH 067798-21) |
Enumeration Date | 2018-07-03 |
Last Update Date | 2021-03-10 |