NPI | 1992253173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5008996) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 249528) |
Enumeration Date | 2016-09-15 |
Last Update Date | 2016-10-05 |