NPI | 1700295912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP013798) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP013798) |
Enumeration Date | 2014-08-13 |
Last Update Date | 2021-02-26 |