NPI | 1255361192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP020612) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009036) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2024-03-27 |