NPI | 1356364715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: AR R10288) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A01358) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-07-08 |