NPI | 1609175116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024169262) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024169262) |
Enumeration Date | 2011-03-23 |
Last Update Date | 2014-07-10 |