NPI | 1831191915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN6895) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 953612) |
363LF0000X Nurse Practitioner, Family (Licence: TN APN6895) | |
Enumeration Date | 2005-08-10 |
Last Update Date | 2011-11-04 |