NPI | 1306185723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 17322) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 170122) |
Enumeration Date | 2013-02-05 |
Last Update Date | 2013-02-07 |