NPI | 1922424746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L163636) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0992286) |
363LA2100X Nurse Practitioner, Acute Care (Licence: AZ RN165820) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992286-NP) | |
Enumeration Date | 2014-03-18 |
Last Update Date | 2022-03-11 |