NPI | 1932440104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430626) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP15620) |
363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP008008) | |
Enumeration Date | 2013-03-12 |
Last Update Date | 2016-03-04 |