NPI | 1821470071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1001074122) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1001074122) |
Enumeration Date | 2015-06-24 |
Last Update Date | 2021-01-29 |