NPI | 1770328569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: DC RN200003057) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN200003057) |
Enumeration Date | 2024-06-25 |
Last Update Date | 2024-07-29 |