NPI | 1336410133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB0000218) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP008164) |
Enumeration Date | 2012-01-25 |
Last Update Date | 2012-01-25 |