NPI | 1295256337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 21086) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 213206) |
164W00000X Licensed Practical Nurse (Licence: SC p39373) | |
Enumeration Date | 2017-06-28 |
Last Update Date | 2017-10-31 |