NPI | 1336602424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5011744) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 340030) |
Enumeration Date | 2019-04-07 |
Last Update Date | 2023-08-10 |