NPI | 1073010906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21802) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 21802) |
Enumeration Date | 2018-04-08 |
Last Update Date | 2023-12-05 |