NPI | 1013987395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R090984) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R090984) |
Enumeration Date | 2006-01-26 |
Last Update Date | 2007-07-08 |