NPI | 1891843488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 10190) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AK 1017) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NH 070004-23) | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2022-01-27 |