NPI | 1386046704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP09288) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09288) |
Enumeration Date | 2014-09-17 |
Last Update Date | 2017-08-02 |