NPI | 1609353705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: DE LP-0000274) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0033535) |
Enumeration Date | 2018-07-23 |
Last Update Date | 2018-12-18 |