NPI | 1083860324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS R853474) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS R853474) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2009-03-16 |