NPI | 1154545465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 2034) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 54-49227) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2023-03-07 |