NPI | 1679213011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-171062) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AL 1-171062) |
Enumeration Date | 2022-04-01 |
Last Update Date | 2024-05-30 |