NPI | 1770700726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP18166) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 515081) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430195) | |
Enumeration Date | 2007-04-19 |
Last Update Date | 2015-10-15 |