NPI | 1932721776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R184124) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R184124) |
Enumeration Date | 2020-05-14 |
Last Update Date | 2021-04-14 |