NPI | 1487869764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 8961) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00113200) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX 793640) | |
Enumeration Date | 2007-05-11 |
Last Update Date | 2023-05-16 |