NPI | 1164585899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R125718) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R125718) |
Enumeration Date | 2006-12-17 |
Last Update Date | 2010-09-10 |