NPI | 1790169431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WY 1421) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 36083.1421) |
363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0991472-NP) | |
Enumeration Date | 2015-07-13 |
Last Update Date | 2021-07-22 |