NPI | 1871003996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 23028) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 23028) |
Enumeration Date | 2017-10-03 |
Last Update Date | 2023-06-16 |