NPI | 1992947568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A158353) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 14014) |
363LF0000X Nurse Practitioner, Family (Licence: AZ 239300) | |
363LF0000X Nurse Practitioner, Family (Licence: TN 14014) | |
Enumeration Date | 2009-03-29 |
Last Update Date | 2022-01-24 |