NPI | 1780919639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NE 9420) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71003075A) |
Enumeration Date | 2009-10-09 |
Last Update Date | 2024-07-03 |