NPI | 1376743708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA S065099) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: IA 065099) |
364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: IA S-065099) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: IA S065099) | |
Enumeration Date | 2007-07-24 |
Last Update Date | 2011-11-23 |