NPI | 1396410791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95018075) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431934) |
Enumeration Date | 2021-08-09 |
Last Update Date | 2022-10-26 |