NPI | 1659982411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR 125968) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AR 125968) |
Enumeration Date | 2020-08-13 |
Last Update Date | 2024-05-06 |