NPI | 1306430475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R160382) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R160382) |
Enumeration Date | 2021-03-01 |
Last Update Date | 2023-11-14 |