NPI | 1013567445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 903432) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 903432) |
Enumeration Date | 2019-09-17 |
Last Update Date | 2020-06-05 |