NPI | 1215278163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A003811) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AR A003811) |
363LG0600X Nurse Practitioner, Gerontology (Licence: AR A003811) | |
Enumeration Date | 2013-03-01 |
Last Update Date | 2013-03-01 |