NPI | 1154724144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A004218) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2014022681) |
363LA2100X Nurse Practitioner, Acute Care (Licence: AR A004218) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2014022681) | |
Enumeration Date | 2014-10-03 |
Last Update Date | 2022-01-06 |