NPI | 1215225677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA RN117161-AP06522) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN117161) |
363L00000X Nurse Practitioner (Licence: LA RN117161-AP06522) | |
Enumeration Date | 2011-07-19 |
Last Update Date | 2016-05-10 |