NPI | 1043580418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R217089) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MD R217089) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2012-01-03 |
Last Update Date | 2022-09-19 |