NPI | 1790874279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA SP009192) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WV APRN95033) |
363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP009192) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2022-04-08 |