NPI | 1922475854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R30740) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ND R30740) |
Enumeration Date | 2015-08-26 |
Last Update Date | 2025-04-24 |