NPI | 1225214794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1061550) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1061550) |
Enumeration Date | 2008-01-15 |
Last Update Date | 2015-12-11 |