NPI | 1700471513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R229515) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R229515) |
Enumeration Date | 2021-03-03 |
Last Update Date | 2022-06-22 |