NPI | 1518379619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R178220) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R178220) |
163W00000X Registered Nurse (Licence: DC RN1024579) | |
Enumeration Date | 2014-05-22 |
Last Update Date | 2016-06-24 |