NPI | 1093901290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 900034) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 3236) |
Enumeration Date | 2007-09-20 |
Last Update Date | 2012-07-31 |