NPI | 1154021830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024186514) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA GAA-NP003184) |
Enumeration Date | 2023-03-09 |
Last Update Date | 2025-02-14 |