NPI | 1578609376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R150729) |
Additional Taxonomies | 174400000X Specialist (Licence: MD NP 150729) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2024-11-04 |