NPI | 1417961731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R138505) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R138505) |
Enumeration Date | 2006-07-29 |
Last Update Date | 2016-02-25 |