NPI | 1194979211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP04212) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN085964) |
363LS0200X Nurse Practitioner, School (Licence: LA AP04212) | |
Enumeration Date | 2008-11-17 |
Last Update Date | 2021-05-19 |