NPI | 1770086076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-78217-051) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2017035851) |
Enumeration Date | 2018-03-13 |
Last Update Date | 2023-06-28 |