NPI | 1437381498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 27156) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MT NUR-APRN-LIC-100471) |
Enumeration Date | 2009-08-10 |
Last Update Date | 2023-03-18 |