NPI | 1023417169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 5585) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5855) |
363LA2200X Nurse Practitioner, Adult Health (Licence: WI 5585) | |
Enumeration Date | 2014-08-14 |
Last Update Date | 2023-03-03 |