NPI | 1346501012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308513) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 20810) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2297969) | |
Enumeration Date | 2012-05-30 |
Last Update Date | 2018-07-06 |