NPI | 1962927707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R194142) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1014141) |
363LA2100X Nurse Practitioner, Acute Care (Licence: DC NP1014141) | |
Enumeration Date | 2017-08-12 |
Last Update Date | 2025-06-18 |