NPI | 1073805180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95000583) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f305624) |
Enumeration Date | 2011-05-08 |
Last Update Date | 2019-10-24 |