NPI | 1407396559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R184166) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R184166) |
Enumeration Date | 2017-03-07 |
Last Update Date | 2021-11-12 |