NPI | 1790355105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MD R230680) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: CA 95175379) |
Enumeration Date | 2021-06-28 |
Last Update Date | 2021-06-28 |