NPI | 1811529118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 27181) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014373) |
Enumeration Date | 2020-02-05 |
Last Update Date | 2021-06-30 |