NPI | 1033630553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP09330) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09330) |
Enumeration Date | 2017-07-06 |
Last Update Date | 2024-06-27 |