NPI | 1376579375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60025714) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT 08155) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2008-07-14 |