NPI | 1033781117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD r196652) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD r196652) |
Enumeration Date | 2021-07-16 |
Last Update Date | 2021-11-02 |