NPI | 1376198846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 0024177987) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024177987) |
Enumeration Date | 2019-08-01 |
Last Update Date | 2024-08-27 |