NPI | 1124737739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 222244) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 222244) |
Enumeration Date | 2022-11-22 |
Last Update Date | 2022-11-22 |