NPI | 1770228330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 226060) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 905185) |
Enumeration Date | 2022-04-28 |
Last Update Date | 2025-02-14 |