NPI | 1063009694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R218961) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R218961) |
Enumeration Date | 2020-12-29 |
Last Update Date | 2025-02-10 |