NPI | 1205011541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A03193) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AR R34747) |
363LA2200X Nurse Practitioner, Adult Health (Licence: AR A03193) | |
Enumeration Date | 2008-01-06 |
Last Update Date | 2012-11-19 |