NPI | 1346467610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R128709) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R128709) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2007-07-08 |