NPI | 1336714542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5019967) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2308728) |
Enumeration Date | 2021-05-21 |
Last Update Date | 2024-07-19 |