NPI | 1619316338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R170371) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MD CS00075) |
Enumeration Date | 2013-06-15 |
Last Update Date | 2016-10-21 |