NPI | 1215232731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: LA AP06266) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 117465) |
Enumeration Date | 2011-01-13 |
Last Update Date | 2019-05-22 |