NPI | 1548891153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R197795) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD 197795) |
Enumeration Date | 2020-02-01 |
Last Update Date | 2020-07-22 |