NPI | 1265776553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006912) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN592024) |
163W00000X Registered Nurse (Licence: NC 213131) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5006912) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP012867) | |
Enumeration Date | 2012-11-27 |
Last Update Date | 2018-08-30 |