NPI | 1184638918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA VP004650C) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA VP004650C) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2022-07-21 |