NPI | 1932683455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SPO19236) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP019236) |
Enumeration Date | 2018-09-20 |
Last Update Date | 2025-07-29 |