NPI | 1114368206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP026424) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN755861) |
Enumeration Date | 2013-07-17 |
Last Update Date | 2022-10-18 |