NPI | 1396830899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010321) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: PA RN287668L) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2010-03-31 |