NPI | 1659674737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1021875) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024169044) |
Enumeration Date | 2010-12-13 |
Last Update Date | 2014-08-19 |