NPI | 1255910840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0138218) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1058947) |
Enumeration Date | 2021-04-02 |
Last Update Date | 2025-09-17 |