NPI | 1922535277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9314185) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2017007175) |
Enumeration Date | 2017-05-17 |
Last Update Date | 2024-10-16 |