NPI | 1104178110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5093) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: WI 5093-33) |
Enumeration Date | 2012-10-15 |
Last Update Date | 2021-10-13 |