NPI | 1093866618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA VP003308C) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA RN312707L) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2023-03-07 |