NPI | 1679939755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 8027594-4405) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201606698NP-PP) |
Enumeration Date | 2016-01-05 |
Last Update Date | 2024-10-07 |