NPI | 1306883269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA GAA-NP001006) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R153337) |
363LA2100X Nurse Practitioner Acute Care (Licence: AL 1-188098) | |
363LF0000X Nurse Practitioner Family (Licence: VA 0024167334) | |
Enumeration Date | 2006-06-01 |
Last Update Date | 2023-11-28 |