NPI | 1851036529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 011821) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CT 133060) |
Enumeration Date | 2022-04-28 |
Last Update Date | 2023-04-11 |