NPI | 1194719500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 67856-2) |
Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: FL 67856-2) |
Enumeration Date | 2005-08-31 |
Last Update Date | 2014-06-17 |