NPI | 1811184609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3006010) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN335292) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2013-01-11 |