NPI | 1952693517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9302082) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 21137548) |
Enumeration Date | 2011-05-13 |
Last Update Date | 2013-06-12 |