NPI | 1649333055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 286942-4405) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 286942-8900) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2009-04-09 |