NPI | 1679152060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30391) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 214873) |
Enumeration Date | 2021-04-05 |
Last Update Date | 2021-10-15 |