NPI | 1750059184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL APRN11011939) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11011939) |
Enumeration Date | 2021-08-31 |
Last Update Date | 2021-11-05 |