NPI | 1891451936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: VA 0024190101) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2021040583) |
Enumeration Date | 2021-11-12 |
Last Update Date | 2024-07-22 |