NPI | 1437456563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP131145) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.12220-NP) |
Enumeration Date | 2011-02-25 |
Last Update Date | 2019-01-04 |