NPI | 1124290937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP009771) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN557986) |
163W00000X Registered Nurse (Licence: DE L1-0030704) | |
363L00000X Nurse Practitioner (Licence: DE LZ-0000113) | |
Enumeration Date | 2008-04-01 |
Last Update Date | 2009-10-19 |