NPI | 1871092569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 279982) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 6307945-4405) |
Enumeration Date | 2018-02-08 |
Last Update Date | 2024-12-16 |