NPI | 1003301136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 7663) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: RI APRN01804) |
Enumeration Date | 2018-07-01 |
Last Update Date | 2018-07-26 |