NPI | 1063934925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: SD CP002524) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2017006574) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2022-09-26 |