NPI | 1336132406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 077038509N3 ANP-PP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30005447) |
Enumeration Date | 2005-08-24 |
Last Update Date | 2013-09-13 |