NPI | 1134543705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: LA 205925) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MN R1809802) |
Enumeration Date | 2014-02-18 |
Last Update Date | 2019-11-20 |