NPI | 1104210095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A004317) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 112410) |
Enumeration Date | 2015-03-27 |
Last Update Date | 2023-09-14 |