NPI | 1124269642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A006004) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A006004) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR R72300) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AR E-11988) | |
Enumeration Date | 2009-03-12 |
Last Update Date | 2024-01-29 |