NPI | 1124378641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 22414) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004053A) |
Enumeration Date | 2012-09-12 |
Last Update Date | 2021-06-14 |