NPI | 1639595358 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA TLRN043475) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP013802) |
363L00000X Nurse Practitioner (Licence: PA SP013802) | |
Enumeration Date | 2014-03-06 |
Last Update Date | 2023-07-12 |