NPI | 1124080502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95014158) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00082000) |
363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP008569) | |
Enumeration Date | 2006-04-03 |
Last Update Date | 2023-03-01 |