NPI | 1285288092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2020011028) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS TMP-158797) |
Enumeration Date | 2019-07-30 |
Last Update Date | 2023-06-16 |