NPI | 1073529517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 1847) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 90333) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2020-10-27 |