NPI | 1134162779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1698) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 80002) |
363LA2100X Nurse Practitioner, Acute Care (Licence: WI 1698-33) | |
Enumeration Date | 2006-06-13 |
Last Update Date | 2023-02-28 |