NPI | 1235157819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP009474) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430071) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2022-08-17 |