NPI | 1326034976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: PA SP008072) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP008072) |
Enumeration Date | 2005-09-20 |
Last Update Date | 2007-08-24 |