NPI | 1285094045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008507) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5008507) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5008507) | |
Enumeration Date | 2016-03-07 |
Last Update Date | 2021-04-21 |