NPI | 1902141286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 111437) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5006589) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NC 264910) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: IA L155074) | |
Enumeration Date | 2012-11-28 |
Last Update Date | 2019-08-02 |