NPI | 1558630533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 17510) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN175949) |
Enumeration Date | 2011-12-21 |
Last Update Date | 2013-01-11 |