NPI | 1912399726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN147350) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN147950) |
Enumeration Date | 2015-03-03 |
Last Update Date | 2021-02-26 |