NPI | 1306892054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704223514) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WY 51188) |
363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0030918) | |
363LF0000X Nurse Practitioner, Family (Licence: ID NP488A) | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2024-08-08 |