NPI | 1205375524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R089539) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R089539) |
Enumeration Date | 2017-02-20 |
Last Update Date | 2017-02-28 |