NPI | 1124253992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009576) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NJ 26NC04269800) |
Enumeration Date | 2009-05-22 |
Last Update Date | 2018-05-10 |