NPI | 1093272874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-122621) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 20629) |
Enumeration Date | 2019-02-27 |
Last Update Date | 2024-02-29 |