NPI | 1336489921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430783) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP012550) |
Enumeration Date | 2013-02-19 |
Last Update Date | 2014-04-14 |