NPI | 1063176998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: KY 3016909) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3016909) |
Enumeration Date | 2021-10-27 |
Last Update Date | 2024-02-08 |