NPI | 1174872956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN-2363) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2263853) |
Enumeration Date | 2012-09-07 |
Last Update Date | 2020-08-04 |