NPI | 1215912027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP007353) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA SP007353) |
363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9438475) | |
163W00000X Registered Nurse (Licence: PA RN536557) | |
Enumeration Date | 2005-12-14 |
Last Update Date | 2023-06-01 |