NPI | 1205254901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R178643) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MD R178643) |
364SA2100X Clinical Nurse Specialist, Acute Care (Licence: MD CS00177) | |
Enumeration Date | 2014-04-01 |
Last Update Date | 2023-08-16 |