NPI | 1033175013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024136390) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: VA 0001136390) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2012-02-07 |