NPI | 1275882540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN24940) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 652458) |
Enumeration Date | 2012-09-02 |
Last Update Date | 2022-03-29 |