NPI | 1285119644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 264843) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 7862) |
Enumeration Date | 2018-10-01 |
Last Update Date | 2022-03-24 |