NPI | 1396824264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A001940) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA GAA-NP000101) |
363LF0000X Nurse Practitioner, Family (Licence: AR A001940) | |
Enumeration Date | 2006-11-03 |
Last Update Date | 2021-08-21 |