NPI | 1003337981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 219445) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA 60776635) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2021-01-14 |