NPI | 1902523566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024185601) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185601) |
Enumeration Date | 2022-10-25 |
Last Update Date | 2022-12-16 |