NPI | 1407396997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 902162) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MS R867554) |
Enumeration Date | 2017-03-02 |
Last Update Date | 2017-07-10 |