NPI | 1316400930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 9549) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R214399) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2023-06-28 |