NPI | 1750976619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 216188) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AR R100263) |
Enumeration Date | 2021-03-03 |
Last Update Date | 2024-11-06 |