NPI | 1871053801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024190398) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: HI APRN2673) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2024-09-23 |