NPI | 1407190705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L161186) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 744971) |
Enumeration Date | 2012-11-27 |
Last Update Date | 2021-09-17 |