NPI | 1538587308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5015966) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013463) |
Enumeration Date | 2014-03-31 |
Last Update Date | 2023-04-12 |