NPI | 1033114087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 2326) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC APN2326) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2021-06-30 |