NPI | 1174610299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 6849) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TN 6849) |
Enumeration Date | 2006-10-09 |
Last Update Date | 2024-10-02 |