NPI | 1770732083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R079896) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R079896) |
Enumeration Date | 2008-09-10 |
Last Update Date | 2008-09-10 |