NPI | 1780017467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 9736) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 058888-23) |
Enumeration Date | 2013-08-16 |
Last Update Date | 2021-09-15 |