NPI | 1861149544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 28213) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL RN9474264) |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11019651) | |
Enumeration Date | 2022-03-03 |
Last Update Date | 2024-04-30 |