NPI | 1386137040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432904) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 318950) |
Enumeration Date | 2018-06-07 |
Last Update Date | 2024-10-16 |