NPI | 1154612331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 21993) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2011004780) |
Enumeration Date | 2011-04-22 |
Last Update Date | 2017-10-11 |