NPI | 1356573539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R257803) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00270400) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430462-1) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5013740) | |
Enumeration Date | 2009-08-20 |
Last Update Date | 2024-01-08 |