NPI | 1093224149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R196070) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MD R196070) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MD R196070) | |
Enumeration Date | 2017-09-20 |
Last Update Date | 2024-10-28 |