NPI | 1154729135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA a142312) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OK 82169) |
363LF0000X Nurse Practitioner, Family (Licence: OK 82169) | |
Enumeration Date | 2014-12-08 |
Last Update Date | 2022-11-01 |