NPI | 1861160723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 34879) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 34879) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-09-03 |
Last Update Date | 2025-08-11 |