NPI | 1073703526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 2965) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C0109090) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2018-10-09 |