NPI | 1902270366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5010776) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5010776) |
363L00000X Nurse Practitioner (Licence: NC 5010776) | |
Enumeration Date | 2015-11-23 |
Last Update Date | 2024-07-15 |