NPI | 1871182840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 12108436-4405) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 12108436-4405) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN680340) | |
Enumeration Date | 2021-01-14 |
Last Update Date | 2024-01-30 |