NPI | 1861114688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95022450) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432361-01) |
Enumeration Date | 2022-09-19 |
Last Update Date | 2022-09-19 |