NPI | 1669991089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 23189) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL ARNP9302421) |
Enumeration Date | 2017-09-18 |
Last Update Date | 2023-03-01 |