NPI | 1013255637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024170537) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0024170537) |
Enumeration Date | 2013-01-17 |
Last Update Date | 2023-10-25 |