NPI | 1588091300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1059249) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024180528) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MD R191205) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95002970) | |
Enumeration Date | 2013-10-11 |
Last Update Date | 2020-12-29 |