NPI | 1033522859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024177389) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP013196) |
363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN267871) | |
Enumeration Date | 2014-06-09 |
Last Update Date | 2023-08-15 |