NPI | 1275689978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2002018652) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2002018652) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2021-10-04 |