NPI | 1669886396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024189672) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2328892) |
207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0024189672) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2328892) | |
Enumeration Date | 2014-06-20 |
Last Update Date | 2024-05-24 |