NPI | 1982015814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 6548) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN .) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TN 18700) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: MN 2471874) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0991065-NP) | |
Enumeration Date | 2014-05-14 |
Last Update Date | 2024-10-07 |