NPI | 1235445982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005024) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI APRN-1428) |
163W00000X Registered Nurse (Licence: OR 201509106RN) | |
163W00000X Registered Nurse (Licence: NC 150604) | |
163W00000X Registered Nurse (Licence: FL ARNP9266909) | |
Enumeration Date | 2010-08-19 |
Last Update Date | 2018-11-13 |