NPI | 1073890422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 19942) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN102375) |
Enumeration Date | 2011-11-14 |
Last Update Date | 2020-06-23 |