NPI | 1699152405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP7747) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CO APN.0991678-NP) |
Enumeration Date | 2015-04-30 |
Last Update Date | 2022-08-10 |