NPI | 1366003469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 57253) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 25445) |
Enumeration Date | 2019-06-28 |
Last Update Date | 2022-08-01 |