NPI | 1790101269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 005562) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430734-1) |
Enumeration Date | 2014-03-08 |
Last Update Date | 2016-04-19 |