NPI | 1093073496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP012682) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 213101L) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2015-10-14 |