NPI | 1730367921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 702992) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 252814) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MA 252814) | |
Enumeration Date | 2008-02-10 |
Last Update Date | 2011-04-27 |