NPI | 1093152605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 67059) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 6848) |
363LA2100X Nurse Practitioner, Acute Care (Licence: VT 101.0091929) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2285730) | |
Enumeration Date | 2013-05-23 |
Last Update Date | 2024-01-05 |