NPI | 1417176579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5002908) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 214658) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2024-10-28 |