NPI | 1760151484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 11828) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 227636) |
Enumeration Date | 2021-09-07 |
Last Update Date | 2022-03-21 |