NPI | 1194815472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95089327) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 107801) |
Enumeration Date | 2006-10-15 |
Last Update Date | 2019-04-16 |