NPI | 1063501047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: DC RN961884) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R142996) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2007-07-08 |