NPI | 1255682399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R177197) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD F430614) |
Enumeration Date | 2012-09-28 |
Last Update Date | 2012-09-28 |