NPI | 1336376607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 3917) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5019911) |
Enumeration Date | 2009-06-15 |
Last Update Date | 2025-04-21 |