NPI | 1467073379 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 72092) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95013835) |
Enumeration Date | 2020-05-01 |
Last Update Date | 2024-02-12 |