NPI | 1336334762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R192408) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R192408) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704234611) | |
Enumeration Date | 2007-09-10 |
Last Update Date | 2024-10-04 |