NPI | 1861056517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R204260) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MD R204260) |
Enumeration Date | 2019-04-29 |
Last Update Date | 2022-02-16 |