NPI | 1982590592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 9489391-4405) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WY 50933) |
Enumeration Date | 2025-06-18 |
Last Update Date | 2025-10-07 |