NPI | 1710556428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 064471-23) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NH 064471-21) |
Enumeration Date | 2021-06-18 |
Last Update Date | 2021-09-23 |