NPI | 1316191968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-108932) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-108932) |
Enumeration Date | 2008-11-10 |
Last Update Date | 2019-03-13 |