NPI | 1417995689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 0050-00966) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 18592) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5000966) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2022-08-04 |