NPI | 1427451624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.011832) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 209.011832) |
Enumeration Date | 2014-10-01 |
Last Update Date | 2014-10-01 |