NPI | 1013291350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP06654) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA RN100570-AP06654) |
Enumeration Date | 2011-10-05 |
Last Update Date | 2018-03-17 |