NPI | 1578048922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-106108) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 903426) |
363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 232595) | |
Enumeration Date | 2018-10-02 |
Last Update Date | 2020-02-12 |