NPI | 1326013590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5010121) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303051) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2021-02-10 |