NPI | 1548636673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 8739) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: RI APRN00732) |
Enumeration Date | 2015-08-12 |
Last Update Date | 2020-03-25 |