NPI | 1477081727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1048183) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP017110) |
363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP017110) | |
Enumeration Date | 2017-05-31 |
Last Update Date | 2020-09-14 |