NPI | 1184620296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA VP004380C) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA VP004380C) |
Enumeration Date | 2005-06-23 |
Last Update Date | 2011-12-05 |