NPI | 1760810303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA L099350) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209-010741) |
Enumeration Date | 2013-10-16 |
Last Update Date | 2016-10-27 |