NPI | 1144365628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 293377) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 458367) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2018-01-12 |