NPI | 1720505019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024175048) |
Additional Taxonomies | 208800000X Urology (Licence: VA 0024175048) |
Enumeration Date | 2017-08-28 |
Last Update Date | 2019-03-08 |