NPI | 1639977945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 24192788) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11038004) |
Enumeration Date | 2025-03-04 |
Last Update Date | 2025-03-04 |