NPI | 1275647067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA vp-002252-C) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA vp-002252-C) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2023-08-02 |