NPI | 1821553959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 25459) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 25459) |
Enumeration Date | 2019-02-03 |
Last Update Date | 2019-06-07 |