NPI | 1659037810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 270468) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN192202) |
Enumeration Date | 2021-11-11 |
Last Update Date | 2022-02-10 |