NPI | 1033545009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2013039402) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0996167-NP) |
363L00000X Nurse Practitioner (Licence: NE 112678) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0996167-NP) | |
Enumeration Date | 2013-09-22 |
Last Update Date | 2021-05-04 |