NPI | 1114210895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L-094043) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H-094043) |
Enumeration Date | 2011-05-27 |
Last Update Date | 2018-06-21 |