NPI | 1124131552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024166821) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301117-2) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2018-06-28 |