NPI | 1063405330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP008487) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP008487) |
Enumeration Date | 2005-08-23 |
Last Update Date | 2016-04-07 |