NPI | 1386021624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP014849) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP014849) |
363LA2100X Nurse Practitioner, Acute Care (Licence: PA MR3542102) | |
Enumeration Date | 2015-05-06 |
Last Update Date | 2023-05-08 |