NPI | 1518510163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 26244) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 26244) |
363LF0000X Nurse Practitioner, Family (Licence: TN 26244) | |
Enumeration Date | 2019-07-23 |
Last Update Date | 2021-07-08 |