NPI | 1063625135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 224102) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN34192) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 224102) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 224102) | |
Enumeration Date | 2007-05-07 |
Last Update Date | 2024-07-22 |