NPI | 1659864981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP025629) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025719) |
363LF0000X Nurse Practitioner, Family (Licence: OH 022746) | |
Enumeration Date | 2018-06-12 |
Last Update Date | 2022-09-30 |