NPI | 1255407391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 086609-23) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 5105) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2022-06-28 |