NPI | 1093029993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA sp012771) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NY 547571) |
163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: PA RN528629L) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305888) | |
Enumeration Date | 2010-08-03 |
Last Update Date | 2013-09-06 |