NPI | 1518385632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017965) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991107-NP) |
364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CO APN.0991107-NP) | |
Enumeration Date | 2014-04-04 |
Last Update Date | 2022-08-05 |