NPI | 1427335132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R165688) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 19494) |
Enumeration Date | 2011-11-09 |
Last Update Date | 2012-06-06 |