NPI | 1851856124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5015847) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN253001) |
Enumeration Date | 2019-01-31 |
Last Update Date | 2024-12-12 |