NPI | 1528693884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 224781) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0001945) |
Enumeration Date | 2020-03-06 |
Last Update Date | 2023-05-31 |