NPI | 1417110933 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R165559) |
Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: MD R165559) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2012-04-27 |