NPI | 1205455029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R176717) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1010947) |
Enumeration Date | 2020-04-11 |
Last Update Date | 2022-11-11 |