NPI | 1932658069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20496) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 20496) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: SC 20496) | |
363LF0000X Nurse Practitioner, Family (Licence: SC 20496) | |
Enumeration Date | 2016-09-30 |
Last Update Date | 2018-05-25 |