NPI | 1366016628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 214952) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 214952) |
Enumeration Date | 2021-05-19 |
Last Update Date | 2024-01-31 |