NPI | 1720064835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-01899) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 201898) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL APRN9319861) | |
Enumeration Date | 2005-12-20 |
Last Update Date | 2022-10-20 |