NPI | 1700836822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R152905) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R152905) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2024-08-15 |