NPI | 1780045591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95027748) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95027748) |
Enumeration Date | 2016-03-08 |
Last Update Date | 2023-10-23 |