NPI | 1265618789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP05198 RN097580) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP05198) |
Enumeration Date | 2008-01-15 |
Last Update Date | 2024-09-24 |