NPI | 1467936179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10496) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN267866) |
Enumeration Date | 2018-09-18 |
Last Update Date | 2023-08-14 |