NPI | 1639944804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA 269907) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA rn269907) |
Enumeration Date | 2023-11-17 |
Last Update Date | 2024-11-18 |