NPI | 1003287418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP015637) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN606373) |
Enumeration Date | 2015-10-12 |
Last Update Date | 2015-11-10 |