NPI | 1255478327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 2717) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 2717) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2015-09-28 |