NPI | 1952705956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 052629) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 052629) |
Enumeration Date | 2014-10-20 |
Last Update Date | 2014-10-20 |