NPI | 1003104837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 13009-NP) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28160841A) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001224227) | |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: DC RN1018593) | |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R191525) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: OH 13009) | |
163W00000X Registered Nurse (Licence: OH 374043) | |
Enumeration Date | 2011-07-14 |
Last Update Date | 2012-01-18 |