NPI | 1023689585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020739) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432035) |
Enumeration Date | 2021-07-06 |
Last Update Date | 2022-11-03 |