NPI | 1922482769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 4499) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H107493) |
Enumeration Date | 2015-07-10 |
Last Update Date | 2022-09-14 |