NPI | 1306080403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005179) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN62242) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005179) | |
Enumeration Date | 2009-04-21 |
Last Update Date | 2023-08-23 |