NPI | 1053674556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP06979) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 073281) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2013-10-14 |