NPI | 1336194844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 950) |
Additional Taxonomies | 208800000X Urology (Licence: SC APN950) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2021-05-25 |