NPI | 1427033273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN059634) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN 174977 NP) |
Enumeration Date | 2005-12-14 |
Last Update Date | 2024-06-10 |