NPI | 1487108767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 2324150) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV APRN002301) |
Enumeration Date | 2016-08-04 |
Last Update Date | 2022-12-19 |