NPI | 1174577605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9179050) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 990246) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2021-03-31 |