NPI | 1356423511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: DC RN39849) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024166554) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2007-07-08 |