NPI | 1174764658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024171146) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP009837) |
Enumeration Date | 2009-03-13 |
Last Update Date | 2016-09-15 |