NPI | 1417281460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R147902) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1005945) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2023-09-11 |