NPI | 1689397705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000032238) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 0000032238) |
Enumeration Date | 2022-09-23 |
Last Update Date | 2024-12-14 |