NPI | 1366573743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 241625) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 14175) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2011-08-01 |