NPI | 1235542713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-107396) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-107396) |
363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-107396) | |
Enumeration Date | 2014-06-03 |
Last Update Date | 2023-11-20 |