NPI | 1598229551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3014248) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WV 101952) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TN 26886) | |
Enumeration Date | 2019-01-24 |
Last Update Date | 2024-05-15 |