NPI | 1003241308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R237951) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LP-0010630) |
Enumeration Date | 2013-09-05 |
Last Update Date | 2024-09-13 |