NPI | 1295873313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H095099) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IA 095099) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2010-11-29 |