NPI | 1316136039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 088939) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP05310) |
Enumeration Date | 2007-10-18 |
Last Update Date | 2023-12-18 |