NPI | 1588998470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP124769) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 6046P) |
Enumeration Date | 2009-09-24 |
Last Update Date | 2014-07-25 |