NPI | 1689919045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 22363) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-133674) |
363LA2100X Nurse Practitioner, Acute Care (Licence: AR A004089) | |
Enumeration Date | 2012-12-11 |
Last Update Date | 2017-03-01 |