NPI | 1679136279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN270893) |
Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: GA RN270893) |
207RP1001X Internal Medicine Pulmonary Disease (Licence: GA 270893) | |
Enumeration Date | 2019-04-18 |
Last Update Date | 2024-06-19 |