NPI | 1255675088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP032049) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN798610) |
163W00000X Registered Nurse (Licence: NY 810062) | |
Enumeration Date | 2012-11-16 |
Last Update Date | 2025-03-19 |