NPI | 1295009462 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R199796) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1014101) |
Enumeration Date | 2012-03-05 |
Last Update Date | 2014-08-08 |