NPI | 1427542737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WY 47505) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WY 29225) |
363LF0000X Nurse Practitioner, Family (Licence: NE 112546) | |
Enumeration Date | 2018-06-20 |
Last Update Date | 2024-11-08 |