NPI | 1811652811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AZ 269503) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN205524) |
Enumeration Date | 2021-11-03 |
Last Update Date | 2022-02-01 |