NPI | 1982188116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 25030) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN293433) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5011672) | |
Enumeration Date | 2018-09-24 |
Last Update Date | 2022-03-09 |