NPI | 1497148530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R239428) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5007546) |
Enumeration Date | 2015-03-13 |
Last Update Date | 2022-10-28 |