NPI | 1093317695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IA H159690) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H15960) |
Enumeration Date | 2020-11-10 |
Last Update Date | 2024-05-14 |