NPI | 1134446552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP4521) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 011021) |
163WX0800X Registered Nurse, Orthopedic (Licence: PA RN594783) | |
Enumeration Date | 2010-04-24 |
Last Update Date | 2025-03-07 |