NPI | 1386010080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0000157) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP014958) |
Enumeration Date | 2015-08-17 |
Last Update Date | 2016-05-13 |