NPI | 1205874146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI A0404453) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN-RX 145) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2008-05-27 |