NPI | 1952556599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP5144) |
Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: PA UP004586N) |
Enumeration Date | 2008-11-24 |
Last Update Date | 2014-06-02 |