NPI | 1003847864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 2099292) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL 2099292) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2011-12-08 |