NPI | 1922583350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112566) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NE 112566) |
Enumeration Date | 2018-10-02 |
Last Update Date | 2019-03-03 |