NPI | 1720094907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5019732) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: WA MD60683790) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2024-05-07 |