NPI | 1073246187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 114223) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H169484) |
Enumeration Date | 2022-07-06 |
Last Update Date | 2022-07-06 |