NPI | 1134143316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: AR R15237) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR P00180) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2007-07-08 |