NPI | 1730811324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R228785) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R228785) |
Enumeration Date | 2022-06-30 |
Last Update Date | 2022-09-28 |