NPI | 1023100989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN299503L) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0022948) |
363LF0000X Nurse Practitioner Family (Licence: NJ 26NN06938000) | |
363LF0000X Nurse Practitioner Family (Licence: PA VP004641B) | |
363LF0000X Nurse Practitioner Family (Licence: DE LG-0000206) | |
163W00000X Registered Nurse | |
Enumeration Date | 2006-09-29 |
Last Update Date | 2007-07-09 |