NPI | 1720332174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 17132) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 17132) |
Enumeration Date | 2012-11-07 |
Last Update Date | 2024-09-06 |