NPI | 1740824564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61172669) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MI 4704297716) |
Enumeration Date | 2019-11-05 |
Last Update Date | 2024-04-01 |