NPI | 1609122688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: LA AP06996) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP06996) |
Enumeration Date | 2012-07-27 |
Last Update Date | 2017-01-02 |