NPI | 1427356823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP0000292) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9273508) |
363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP014325) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: MD R121652) | |
Enumeration Date | 2011-03-09 |
Last Update Date | 2023-03-22 |