NPI | 1831866169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP024622) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN671739) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA SP024622) | |
Enumeration Date | 2021-08-25 |
Last Update Date | 2024-10-09 |