NPI | 1811371537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R156597) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MD R156597) |
Enumeration Date | 2015-07-13 |
Last Update Date | 2015-07-13 |