NPI | 1033490396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430868) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 679056) |
Enumeration Date | 2011-08-31 |
Last Update Date | 2015-08-11 |