NPI | 1306856737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R185270) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN142649) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2009-05-26 |