NPI | 1588201685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 2019034511) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 2019034508) |
Enumeration Date | 2019-12-08 |
Last Update Date | 2019-12-08 |