NPI | 1043577356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71004018A) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430641) |
Enumeration Date | 2012-04-12 |
Last Update Date | 2021-01-06 |