NPI | 1760932701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009021) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5009021) |
Enumeration Date | 2016-10-13 |
Last Update Date | 2016-11-10 |