NPI | 1083779946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP009278) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA SP009278) |
363L00000X Nurse Practitioner (Licence: PA 005974) | |
363L00000X Nurse Practitioner (Licence: PA RN579918) | |
Enumeration Date | 2006-12-22 |
Last Update Date | 2011-08-30 |