NPI | 1235446972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 004501) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CT 075385) |
Enumeration Date | 2010-09-01 |
Last Update Date | 2022-09-12 |