NPI | 1558766535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11009083) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95001620) |
Enumeration Date | 2014-11-03 |
Last Update Date | 2020-10-29 |