NPI | 1750892501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 33456) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95007067) |
363L00000X Nurse Practitioner (Licence: CA 950007067) | |
Enumeration Date | 2017-10-19 |
Last Update Date | 2025-09-20 |