NPI | 1093296543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704424388) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP137486) |
Enumeration Date | 2018-08-23 |
Last Update Date | 2025-02-05 |