NPI | 1356717276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 24253) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 307462) |
Enumeration Date | 2015-08-14 |
Last Update Date | 2022-11-02 |