NPI | 1306377999 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5009533) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC LUCA-04B17Z) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5009355) | |
364SA2100X Clinical Nurse Specialist, Acute Care (Licence: AL 1-080479) | |
Enumeration Date | 2017-03-24 |
Last Update Date | 2024-12-04 |