NPI | 1013394063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP7761) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ RN128788) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2019-04-23 |